0000899243-20-028049.txt : 20201013 0000899243-20-028049.hdr.sgml : 20201013 20201013172813 ACCESSION NUMBER: 0000899243-20-028049 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201008 FILED AS OF DATE: 20201013 DATE AS OF CHANGE: 20201013 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: White Dale A. CENTRAL INDEX KEY: 0001827254 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39228 FILM NUMBER: 201237463 MAIL ADDRESS: STREET 1: 115 FIFTH AVENUE CITY: NEW YORK STATE: NY ZIP: 10003 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MultiPlan Corp CENTRAL INDEX KEY: 0001793229 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 843536151 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 115 FIFTH AVENUE CITY: NEW YORK STATE: NY ZIP: 10003 BUSINESS PHONE: (212) 780-2000 MAIL ADDRESS: STREET 1: 115 FIFTH AVENUE CITY: NEW YORK STATE: NY ZIP: 10003 FORMER COMPANY: FORMER CONFORMED NAME: Churchill Capital Corp III DATE OF NAME CHANGE: 20200127 FORMER COMPANY: FORMER CONFORMED NAME: Butler Acquisition Corp DATE OF NAME CHANGE: 20191105 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-10-08 0 0001793229 MultiPlan Corp MPLN 0001827254 White Dale A. C/O MULTIPLAN CORPORATION 115 FIFTH AVENUE NEW YORK NY 10003 0 1 0 0 See Remarks Class A common stock 2020-10-08 4 A 0 8066106 A 8066106 D Reflects shares of Class A common stock of the Issuer ("Common Stock") received pursuant to an Agreement and Plan of Merger, dated July 12, 2020 (the "Merger Agreement"), by and among the Issuer (formerly known as Churchill Capital Corp III), Polaris Parent Corp. ("MultiPlan Parent"), Polaris Investment Holdings, L.P., Music Merger Sub I, Inc. and Music Merger Sub II LLC, pursuant to which Music Merger Sub I, Inc. merged with MultiPlan Parent, with MultiPlan Parent surviving, and MultiPlan Parent merged with and into Music Merger Sub II LLC, with Music Merger Sub II LLC surviving the merger as a wholly owned subsidiary of the Issuer (which changed its name to MultiPlan Corporation) Pursuant to the Merger Agreement, former stockholders of MultiPlan Parent received their pro rata portion of the merger consideration, which was equal to $5,678,000,000, paid in a combination of $1,521,000,000 cash with the remainder paid in shares of Common Stock in an amount equal to $10.00 per share. Executive Vice President and Chief Revenue Officer /s/ Shawna Gasik, attorney-in-fact 2020-10-13